PCI术后Agioseal血管封堵器应用安全性及护理体会.docVIP

PCI术后Agioseal血管封堵器应用安全性及护理体会 　　【摘要】目的探讨Angio seal血管闭合器在冠脉介入治疗术后患者应用的安全性和护理要点。方法对30例PCI术后的患者，行Angio seal 血管内闭合器封闭股动脉穿刺处, 同时采取针对性的护理措施。 观察术后恢复情况及评估护理措施。结果术后4~6 h下床活动，仅两例患者活动后出血，经及时处理后恢复良好，患者舒适度增加，无严重的并发症和痛苦。结论PCI术后Agio?seal血管封堵器应用的安全、有效。减少并发症和卧床时间, 针对性的护理是保障疗效的关键。 　　【关键词】经皮冠状动脉介入治疗(PCI); 血管封堵器; 护理 　　 　　Safty and nursing experience of applying Angio?Seal vascular closing device in patients with coronary heart diseases after percutaneous coronary interventionLV Yan， LUO Shi?jie, CHENG Yong,et al.Department of Cardiology, Su Qian People?s Hospital affiliated to Nanjing Drum Tower Hospital Group, Jiang Su,223800 China 　　【Abstract】ObjectiveTo study the safety and nursing care of Angio?Seal vascular closing device in PCI patients? Methods30 cases undergoing PCI received Angio?Seal vascular closing device to close femoral artery puncture hole, as well as received appropriate nursing measures?The nursing interventions were evalued and recovery data were observed? ResultsOnly two patients were bleeding after 4~6 hours since operatinon, but recovered well after timely treatment?There were no other serious complications and pain?The comfortability of patients was increased? ConclusionUsing Agio?seal vascular closure device after PCI is safe and effective? It can reduce complications and time in bed, targeted care is the key factors for the efficacy. 　　【Key words】percutaneous coronary intervention(PCI); vascular closure device; Nursing 　　 　　作者单位：223800南京鼓楼医院宿迁市人民医院心内科近年来，冠心病介入诊疗越来越普及，经股动脉途径是常规的入路。介入诊疗术后通常采用手工压迫法来达到穿刺处止血的目的, 效果一般，且费力费时，患者卧床时间较长，为提高止血效果, 同时减轻传统止血方法给患者带来的痛苦, 新的止血方法尤其是血管封堵器在动脉止血中得到临床医师青睐［1］。这也给临床护理提出了新的要求。我院心血管内科自2010年8月至2011年8月对经股动脉接受经皮冠状动脉内介入诊疗的30 例患者 术后使用Agio?seal血管封堵器, 疗效确切, 在护理方面积累了一定的经验和体会现汇报如下。 　　1病例资料 　　所有患者均为我院2010年8月至2011年8月年住院冠心病接受冠脉造影(CAG)及经皮冠状动脉介入治疗(PCI)患者，共30例，男17例，女13例；年龄43~78岁，平均(64?36±9?11)岁；急性冠脉综合征27岁，急性心肌梗死3例。冠脉造影6例，PCI术24例。所有患者均除外凝血功能障碍, 术前常规服用拜阿司匹林和波立维, 术中常规动脉肝素化, PCI术后使用低分子肝素5000 U，Q12H皮下注射。植入前排除局部血肿，并经造影证实穿刺处血管系主干，内径4 mm，无明显狭窄、钙化及距离分